Sliding genioplasty - orthodontics needed?

[Guest guest]

I realize I need to speak to a doctor about this, but I'm trying to

gather info first:

I'm 27 years old. I have have a very slight overbite and a crooked

lower incisor. I have decided that I can tolerate Invisalign for a

year, which is what I've been told would be required to correct it.

The catch is that I also have a deficient lower jaw which became more

pronounced in my early to mid twenties. It's not terrible but it's not

great either. I'm actually a dead ringer for Posada if you know

who he is. Since the bite in the rear of my mouth is fine, I'd rather

not do full jaw surgery. I would be happy just to advance my chin a

bit. I am under the impression (which I hope is correct) that a

sliding genioplasty is different than full jaw surgery.

1) Is there less potential for nerve damage with a small sliding

genioplasty than with full jaw surgery?

2) Does the sliding genioplasty require orthodontic treatment before

or after? If so, is the treatment less extensive than with full jaw

surgery?

3) Is the recovery time less for a sliding genioplasty than for full

jaw surgery?

Thanks,

celloboyy

[Guest guest]

I realize I need to speak to a doctor about this, but I'm trying to

gather info first:

I'm 27 years old. I have have a very slight overbite and a crooked

lower incisor. I have decided that I can tolerate Invisalign for a

year, which is what I've been told would be required to correct it.

The catch is that I also have a deficient lower jaw which became more

pronounced in my early to mid twenties. It's not terrible but it's not

great either. I'm actually a dead ringer for Posada if you know

who he is. Since the bite in the rear of my mouth is fine, I'd rather

not do full jaw surgery. I would be happy just to advance my chin a

bit. I am under the impression (which I hope is correct) that a

sliding genioplasty is different than full jaw surgery.

1) Is there less potential for nerve damage with a small sliding

genioplasty than with full jaw surgery?

2) Does the sliding genioplasty require orthodontic treatment before

or after? If so, is the treatment less extensive than with full jaw

surgery?

3) Is the recovery time less for a sliding genioplasty than for full

jaw surgery?

Thanks,

celloboyy

[Guest guest]

I may be in a similar situation. I could not do the jaw surgery

because my orthodontist noticed that my teeth were undergoing root

resorption and I had to stop the treatment as soon as possible.

Instead, my oral surgeon suggested at least I could correct the chin

alone.

I would say you better finish orthodontics so your profile is

finalized and your bite is ready. There may be some slight movement

that could affect the genioplasty so better finish the teeth

movements so they know exactly how much to move the chin.

The risk is still there as far as nerve damage. The difference is

that in the lower jaw surgery the main nerve is the alveolar nerve

whereas in the chin surgery the main nerve affected is the mental

nerve. So different nerves but same risk since both are stretched.

However, the genio is less intrusive to its local nerve but no

guarantees either according ot my surgeon. So you could still get

numbness issues.

Recovery is definitely easier. You dont need liquid diet they told me

and there is no breaking of the jaw so you can open and close your

mouth normally. With jaw movements you need to adjust to the new bite

and movements and everything takes more time.

Well, I am still nervous even with only genio, but I would say if I

were to pick I would say the genio is somewhat simpler procedure.

>

> I realize I need to speak to a doctor about this, but I'm trying to

> gather info first:

>

> I'm 27 years old. I have have a very slight overbite and a crooked

> lower incisor. I have decided that I can tolerate Invisalign for a

> year, which is what I've been told would be required to correct it.

>

> The catch is that I also have a deficient lower jaw which became

more

> pronounced in my early to mid twenties. It's not terrible but it's

not

> great either. I'm actually a dead ringer for Posada if you

know

> who he is. Since the bite in the rear of my mouth is fine, I'd

rather

> not do full jaw surgery. I would be happy just to advance my chin a

> bit. I am under the impression (which I hope is correct) that a

> sliding genioplasty is different than full jaw surgery.

>

> 1) Is there less potential for nerve damage with a small sliding

> genioplasty than with full jaw surgery?

>

> 2) Does the sliding genioplasty require orthodontic treatment before

> or after? If so, is the treatment less extensive than with full jaw

> surgery?

>

> 3) Is the recovery time less for a sliding genioplasty than for full

> jaw surgery?

>

> Thanks,

>

> celloboyy

[Guest guest]

I may be in a similar situation. I could not do the jaw surgery

because my orthodontist noticed that my teeth were undergoing root

resorption and I had to stop the treatment as soon as possible.

Instead, my oral surgeon suggested at least I could correct the chin

alone.

I would say you better finish orthodontics so your profile is

finalized and your bite is ready. There may be some slight movement

that could affect the genioplasty so better finish the teeth

movements so they know exactly how much to move the chin.

The risk is still there as far as nerve damage. The difference is

that in the lower jaw surgery the main nerve is the alveolar nerve

whereas in the chin surgery the main nerve affected is the mental

nerve. So different nerves but same risk since both are stretched.

However, the genio is less intrusive to its local nerve but no

guarantees either according ot my surgeon. So you could still get

numbness issues.

Recovery is definitely easier. You dont need liquid diet they told me

and there is no breaking of the jaw so you can open and close your

mouth normally. With jaw movements you need to adjust to the new bite

and movements and everything takes more time.

Well, I am still nervous even with only genio, but I would say if I

were to pick I would say the genio is somewhat simpler procedure.

>

> I realize I need to speak to a doctor about this, but I'm trying to

> gather info first:

>

> I'm 27 years old. I have have a very slight overbite and a crooked

> lower incisor. I have decided that I can tolerate Invisalign for a

> year, which is what I've been told would be required to correct it.

>

> The catch is that I also have a deficient lower jaw which became

more

> pronounced in my early to mid twenties. It's not terrible but it's

not

> great either. I'm actually a dead ringer for Posada if you

know

> who he is. Since the bite in the rear of my mouth is fine, I'd

rather

> not do full jaw surgery. I would be happy just to advance my chin a

> bit. I am under the impression (which I hope is correct) that a

> sliding genioplasty is different than full jaw surgery.

>

> 1) Is there less potential for nerve damage with a small sliding

> genioplasty than with full jaw surgery?

>

> 2) Does the sliding genioplasty require orthodontic treatment before

> or after? If so, is the treatment less extensive than with full jaw

> surgery?

>

> 3) Is the recovery time less for a sliding genioplasty than for full

> jaw surgery?

>

> Thanks,

>

> celloboyy